| MedImpact Healthcare Systems, Inc. Patent applications |
| Patent application number | Title | Published |
|---|
| 20120109839 | Dynamic Claims Adjudication - A dynamic claims adjudication system is provided that implements a dynamic claims adjudication process to provide flexible determination of the adjudication rule set to be used to adjudicate a claim for a particular prescription drug regardless of the mandates of the formulary and the rigidity of the tier into which the drug is placed on the formulary. The claims adjudication system and corresponding methods dynamically determine the adjudication rule set to be used to adjudicate a claim based on an analysis of criteria and identification of a tier changing criteria. Accordingly, the rigidity of conventional formulary based claims adjudication is eliminated in favor of dynamic and flexible real time claims adjudication. | 05-03-2012 |
| 20110184756 | Maintaining Patient Medication Lists - Systems, methods and devices for managing patient medication data which include, in one implementation, receiving medication data for a patient from multiple sources; reconciling the medication data from multiple sources to generate a reconciled list of medications for the patient; presenting the reconciled list to the patient in a user-interface; identifying a potential cost savings change for a prescribed medication on the list; presenting an indication of the cost savings change to the patient in the user-interface; receiving a selection of the potential cost savings for the prescribed medication from the patient; in response to receiving the selection, transmitting via a network a request for the cost savings change to a health-care professional; receiving an approval of the cost savings; and presenting to the patient an updated medication list, the updated the medication list updated according to the approval. | 07-28-2011 |
| 20110184753 | Interactive Patient Medication List - Systems, methods and devices for managing patient medication data which include, in one implementation, displaying in a user-interface movable medication containers for medications in a list of medications for a patient, each medication container having a corresponding medication category; displaying a receptacle for organizing the medications, the receptacle having multiple layers having corresponding medication categories in a first dimension, each layer configured to receive one or more medication containers; and receiving a first medication container from the movable medication containers that is dragged into a layer in the first dimension having a corresponding medication category that matches the medication category of the first medication container. | 07-28-2011 |
| 20110106556 | Modifying a Patient Adherence Score - Systems and techniques are disclosed for determining an intervention for a patient based at least in part on a likelihood of the patient to adhere to a prescription. In some implementations, a patient profile for a patient is obtained from one or more computer-readable storage devices in a patient population, the patient profile including multiple patient attributes; an adherence score is obtained for the patient profile, the adherence score for predicting patient adherence based on one or more of the multiple patient attributes wherein the adherence score indicates a likelihood of adherence of the patient to a prescribed treatment; and the adherence score obtained for the patient profile is modified into a modified score for intervention based on a set of weights for weighting the patient attributes. | 05-05-2011 |
| 20110010328 | Modifying a Patient Adherence Score - Systems, methods and devices for modifying a patient adherence score which include, in one implementation, obtaining a patient profile in a patient population, the patient profile including multiple patient attributes and each patient attribute including a value; obtaining an adherence score for the patient profile for predicting patient adherence based on one or more of the multiple patient attributes wherein the adherence score indicates a likelihood of adherence of the patient to the prescribed treatment; and applying a modifier associated with an application to modify the adherence score obtained for the patient profile into a modified score for the application. | 01-13-2011 |
| 20100287002 | METHOD FOR PROVIDING CONSUMER CHOICE AND EQUALIZING PHARMACY PROVIDER AVAILABILITY IN PRESCRIPTION MEDICATION DISPENSING PLANS - A method is disclosed whereby consumers enrolled in a prescription benefit plan can obtain prescription medication fulfillment at any participating pharmacy of their choice, regardless of whether the fulfillment is by a retail pharmacy or a mail order pharmacy, and whether the quantity of medication prescribed is for administration over a short period (acute care) or a prolonged period (maintenance). The plan of this invention operates by having the plan manager substantially equalize the financial effects of the discounts and services fees allowed to participating pharmacies such that both retail and mail order pharmacies are compensated in a manner which encourages them to accept all consumers and fill all prescriptions. Compensation is preferably adjusted periodically by the manager to retain pharmacy incentives. Consumers obtain choice of pharmacies, plan payers have pleased employees and members and pharmacies obtain income from the entire spectrum of consumers. | 11-11-2010 |
